Z6F-28428-59371

4 vaccinations 11 coded responses 24 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 370 / TN
Registered: 2021-04-06

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-06
Registered in v-safe
2021-04-06
Dose 1 — Pfizer-BioNTech
2021-04-06
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: Sore under my arm pit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Sore under my armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Chest discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Chest discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Chest discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 7, dose 1
MedDRA: Chest discomfort — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Chest discomfort

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-04
Dose 2 — Pfizer-BioNTech
2021-05-11
Survey response — day 7, dose 2
MedDRA: Arthralgia, Chills, Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: On May 4th and 5th I had chills, joints and muscle aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 14, dose 2
MedDRA: Rash pruritic, Throat irritation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Scratchy throat, itchy rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Survey response — day 21, dose 2
MedDRA: Office visit, Rash pruritic, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I yet itch from the rash/hives. How long is this suppose to go on? Why no one has called me? What yall doing? · Healthcare visit (other): Went to see someone at my clinic. They say they dont know what this is. What yall got to say?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-03
Survey response — 3 months, dose 2
MedDRA: Cardiac disorder — Feeling: Good

Free text: Sometimes I dont like the way my heart feel.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-02
Survey response — 6 months, dose 2
MedDRA: Chest pain, Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I broke out with bumps. Dr. Didn't know what they were. My chest hurts. · Healthcare visit (other): Went to see my clinic

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-03
Call 1 — Left Voicemail
2021-11-04
Call successful
Participant prefers to complete VAERS report online
2021-12-21
Dose 3 — Pfizer-BioNTech
2022-05-26
Dose 4 — Pfizer-BioNTech
2022-06-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-30
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-07
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-24
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-26
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Pfizer-BioNTech
2	2021-05-04	Pfizer-BioNTech
3	2021-12-21	Pfizer-BioNTech	No
4	2022-05-26	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-18	Successful	Participant prefers to complete VAERS report online
2021-05-25	Successful	Participant prefers to complete VAERS report online
2021-11-02	Successful 2021-11-04	Participant prefers to complete VAERS report online

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): Sore under my arm pit.

2021-04-09

Systemic reaction (other): Sore under my armpit

2021-04-10

Systemic reaction (other): Chest discomfort

2021-04-11

Systemic reaction (other): Chest discomfort

2021-04-12

Systemic reaction (other): Chest discomfort

Release 7 — day 7, dose 1

2021-04-13

Systemic reaction (other): Chest discomfort

Release 8 — day 7, dose 2

2021-05-11

Systemic reaction (other): On May 4th and 5th I had chills, joints and muscle aches

Release 8 — day 14, dose 2

2021-05-18

Symptoms: Scratchy throat, itchy rash

Release 8 — day 21, dose 2

2021-05-25

Symptoms: I yet itch from the rash/hives. How long is this suppose to go on? Why no one has called me? What yall doing?

Healthcare visit (other): Went to see someone at my clinic. They say they dont know what this is. What yall got to say?

Release 9 — 3 months, dose 2

2021-08-03

Symptoms: Sometimes I dont like the way my heart feel.

Release 10 — 6 months, dose 2

2021-11-02

Symptoms: I broke out with bumps. Dr. Didn't know what they were. My chest hurts.

Healthcare visit (other): Went to see my clinic

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Office visit	✓	✓	✓
SD	Cardiac disorder	✓	·	✓
SD	Chest pain	·	·	✓
SD	Office visit	·	·	✓
SD	Rash	·	·	✓
SD	Rash pruritic	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Myalgia	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release